Individual
JOHN VINCENT KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
107 S CENTER ST, HILDEBRAN, NC 28637-8304
(828) 397-3522
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-07051
NC
Other
Enumeration date
03/08/2017
Last updated
04/11/2023
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